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Prospective Havanese Owner's Questionnaire

D'Va Toys

City State Zip
Home Telephone:
Work Telephone:
Email Address:
Referred By:

Please list the people you know that have Havanese:

If you rent, would your landlord approve of a dog? Yes No

If renting, please provide your landlord's name, address, and telephone number:


Do you have a fenced yard? Yes No
How long have you lived at this address?
What type of a home do you live in? (mobile home, condo, single family residence, apartment, etc.):
Who will be the primary caregiver?
Where will the puppy be kept during the day?
Where will the puppy be kept during the night?
What are the average hours the puppy will be left alone?
Will someone be available to feed and exercise the puppy during the day? Yes No
Have you owned dogs before? Yes No

If yes, what kind of dogs did you own?
How long did you have them?

If you do not have a dog now, why not?
What are you interested in? Male Female
What quality are you interested in? Show Pet
What age of dog are you interested in? Puppy Adult
Are you planning to breed this dog? Yes No
Have you ever housetrained a dog before? Yes No

If yes, please explain how:

Will you be attending any training classes for the dog? Yes No
At what age will you be starting the puppy in classes?
Do you understand the difference between limited and full registration? Yes No
Are you willing to sign a spay/neuter contract on a Havanese? Yes No
Does anyone in the home have allergies? Yes No

If yes, have you discussed having a Havanese with your allergist? Yes No

Have you researched the Havanese breed? Yes No
What was the contributing factor in deciding on a Havanese?

Are you willing to have your Havanese's eyes checked yearly and registered with CERF? Yes No

Do you have any questions or comments for us?